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HomeMy WebLinkAboutBLD99-0080 Cancelled Mobile Home - BLD Permit / Conditions - 8/29/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F3K...1 E L._ C-) i INf`, PIS 11N/I 1 ..1._ FOR INSPEGTION� .:At. l 427 - 9670 BETWEEN 5pm AND Sam 427--72E32 BL D99--0080 PARCEL : 123201 302030 PLAT : D I V : BLK e t OT : JOB ADDRESS t 11 it A F-AIP 1IWY RE I.FAIR OWNER : STE CONTRACTOR : DFCKS UNIQUE: 4I 8-44400 LEGAL : T'R 3 OF S112 311 If, E Of UNION RIVEN RE 1131 OLO 8FLFAIN NNY CLASS OF WORK . . iNEW BEDFI % 3 .RATI-t : 2 IYPF A110011 BY DATE RFCfIPT TYPE AMOUNT BY DA#E RECfIPI TYPE' O F USE" . , . . ;M F1 TOR 1 F S . . . . . . . . 1 �. n. �._:_-s�z. . .z , - .. �r z •.<x:a= - r >�:,�>,� _ OCC,UP . GROUP :7 BLDG . HE I GHT H ,0-I t MNSF E 175.06 K(I 42111199 1347 TYPE OF CONST . . :? F IRE'PLACES r . . . e 0 STfE 1 4.50 KS 03102199 RftfAIR OCCUP . LOAD _. . . . 0 WOODSTOVI`S - , : 0 NtIBI t 12540 KS 03102199 BELFAIQ i DWEL L ,UN I T S . . , 0 PARKING SPACES : 0 NHBt t 50.00 KW 02110199 1355 INSPECTION ARFA : 2 SHORFL INET . . . : :Y fENCP II5A.00 KS 031i2189 SFIFAIR IOTAt: 464.Sll VAIULA11011: 0� Liars.r.:mac. .r2.:rr.-�sstrr.::ay.yztr..cv—x:rec:azz.�•_ _a:c'=sxxn�r_a:x�s.:m<.<•.c:-:n'.r•:z.vr_-ss�a..^z�-.:-•e�tc::rw: SETBACKS-_._ __.__.._.......-__...__.._._ TOILE'TS . . . . . . .. . . . : 0 FUEL TYPES-- __.-_._._ - __-. BOILERS/COMP_-__ -. MOBILE HOME__... FRONT . .. X 70 .Oft BATH BASINS, — . . . : 0 0 3 TIP 0 REAR . . . .W 120 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP , - 0 MODEL :REDMAN SIDE ( 1 ) .N 14 ' .Oft SHOWERS ' . .. . . . . . . . : 0 FURN < 100K BTU : 0 15--30 HP - : 0 --MAKE- -- - - t DE ( 2) .S 1 5 .0f t WATER HEATERS.— : 0 FURN }-100K BTU : 0 30--50 HP . : 0 SHRL. I NE .W 82 .0f't CLOTHES WASHERS . , : 0 FURN -- F t.00R . . . : 0 Fro+ Hp . t 0 - YEAR - --- AREA - ' --__._._.____ _._ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 97 V OT S t ZE . s FLOOR DRAINS . . . , , . 0 VENT SYSTEMS . . . , 0 EVAP COOLFFIS : 0 LENGTt1 :48 BO I LD I NG _. 0.,q f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . , . : 0 WIDTH . :2.8 BASEMENT . . . : C? st IAUNURY TRAYS . . . :. : 0 DOMES . tNCiN :0 SERIAL. *- DECKS — . . . . t Osf D I SHWASHE:RS 0 AIR HANDLING UNITS---- COMML. . I NC I N :0 � GAR /CARP .? 91:,t GARB DISPOSALS — . 0 f— 10000 cfw : 0 RE-LOC/REPAIR : 0 AT/DT . :? URINALS _ _ _ . : 0 10000 eflo . : 0 OTHER UNITS . , 0 M I SC PL.M F I XTIIRE,'; : 0 GAS OUTLETS . - N rs.;r_•r�r:ar>.�a-.ea.c:�-ru.z�:.-=r r..t:s'n+w:.�xra�-r=acx�-�-•.-x-�:mar-:r�r»�-�:rre-�._.rdt'.^^�r�.:..•.x�:r_c:rr.r:.xv a.:3rx:.x^:.s:ca,;:r-^..:::u:rxs.:�:a: -::nz^r__-.�.ras>-:an+sz�.:rs.+-•-•-s•.r.:ra.a�:use^:.rasm:r'�ew:Rscr-�:a�:•••••--�.•••••.�.�•�.�_su�: PROJECT DESCRiPftON;NOti1tE HONE PROJECI 10CATION:APPROz 11111f OUT Of PFLFAIR 00 Ot0 BftFAIR HWY 210 101 ON ttf) BEFORE. IST UNION RIVER BRIDGE. THIS PERMIT BECOMES NUI.t AND VOID if YORE OR CONSTRUCTION AUTH6811ED IS NOT CONNENCEI WITNIN 130 DAYS, OR IF CONSTRUCTION OR WORF IS SUSPENDED FOR A PERIOD 9f i8f DAYS AT ANY TINE AFTER 101f IS CONNENCV0. EVIDFNCf Of C0011910 1100 Of WORK IS A PROGRESS INSPECTION NITNIN THE 180 DAY PERIOD. FINAL INSPECTION MUST Bs APPROVED BEFORE 8UP4 1Ni, CAN if OCCUPIFD. I 77 OWNER OR AfiENl:. �' "� `1--�!f � - .f DATE: 61.5-_PRNT, rev; g .131 l9t COMPI. I ANCE: TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons tom' date by Gas Piping date 3 �� ` / b Faundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation by Floors Final /'. L �� date date by S•� �'� by,//� FRAMING Wails FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE M I 'T` C. C> ND II -f I crrN t3 Case No , i BLD99-0080 For , STEVC ROCKS Paged s 1 1 ) Approved per dimensions and seatbtacskS on ;:eabmitted site plan ; setback 'from northwest corner � home west towards edge of rook hank protection is 82 feet and level of the fIrst Idential floor, shall he turd (2 ) feet above =cijrroundIng quade . 2-3 Temporary, erosion control measures must be implemented to prevent water q►falIty degrada4d n of adjacent waters or wetlands . Silt fe3nr., i ng must be installed and ma i nta1 \ until upland vegetation tins become P-stab l i he:d . X 3 ? The proposed project must be cons i stent with sal I atop l i cab I e o I I o i es and of tier, prov i s eft of the Shores l i net Management Act , its ru I erg , and the Mason County Shoreline Masterj, p .. gram . X 4 ) The; applicant ack now I ed es that this development was sited such that: further shore protect i o ittesasures wily not be re qu i read for protection of the facility . Existing short rock ban " . ? ntert i on i unpeerm i tted work after 1 996 ; any repair or replacement will requ i rei _ n i ng Department review prior to work being done . X 5 ) Proposed �Lt.ructure or any port ion t h(zreof Cheat eer• than 30" in he I q. ht from gr ade* I i tie , roust maI t a minimum of 5 ' setback from all property lines , easements and 10 ' from a I 1 0ounit- d Steate? Road right: of ways , X 6) This appl ',•c cfn Is subject 'to Buffer, and Landscaping requirements as established under. Masan Cout,.4 rdInance 1 .03 .036 . x.._..____. 7 ) Provisions for surfa(,e/subsurface drainage eontroi must be implemented with new constrarot i on or development on site :and MUST NOT adverrse 1 y impact adjacent parcels . � La x � @ CL a t & LU � 16 M -0 M § k 2 � o § 0 E IL � ƒ § 0Lft 2 t $ t i / i « t k ) ■ -0 c T3 z » « 0 ■ _ 1;. -0 t t . / ■ A e q § � _ K � � � © © § a � § • k a I a | � ƒ � ƒ � & k � � a � k623 � MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 drains w i 11 meet: requirements. of they stormwater ordinance or, prior .approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose . For further i rotor mat I on r•epard I ng t h 1 u ordinance and the RFOU I RUMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason Countyy Road, Contact the Mason County Public Works Department prior to construction at Ext 450 . For any o"s ruction wh I c.h is proposed to be located within 25 ` of ra Maroon County read right of 4a it I suggested too contact that office to review future planned work whloh may atferlot'Ccy ur project . x 8 ) The use, harrdrl , nu and storage of ha/ardour materials or f t a►rsmabl a and combust i b I e liquids In /e eAs of 10 gallon is not allowed without the approval of the Mason County Fire Marsh4j x J ___._. _ __ 9) PURSUANT TO 1994 UNIFORM 11111 t. D i NG GORE , ALL S I TES MAST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BF PLAINLY VISIBLE AND LEGIBLE FROM Tilt; STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQU I RL:S THAT THIS BE COMPLETED PRIOR TO CALLING FAR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TAKE 3A OF THE 1994 UNIFORM RUII.DINC CODE WIL.L. BE ASSESSED IF OWNER/CONTRd FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . x 10) THE FOUNDAT I PIN., SYSTEM SHALL. BE Pt ACED ON UND I ST'URBF_.t), NA I VE SO I L . % 1� 1 1 ) The approved plot plan is required to be ran--site for, Inspection pur oSN S o It inspection is called for and plot plan is not on site, Approval WILL. NOT be granted . In addition, a Re-- I nspeot i on fee it) the amount of $42 .00 per hour (minimum i hour ) will be charged and must be collected by this department prior to any further inspections be i rag performed orrova t granted . x 12 ) REQUIRED INSPECTIONS ( Footing I nspec,t i on-prior to pour . Set up I nspoc t i can--pr i car to skirting, Final Inspection-prior to occupancy ) . I have received a coy of the General Information and Gu i dee l i nee--Mote,i l e/DAant►f act ured Housing I roost a l l at i onf; iandou t for i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by II I I) I _ II II I I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 a V f a I nst a l l at i on = 1 he ebv tarsut�e a i I respons i b i I i tv for the srhedu I I nq of these req►.i i red inspections . It these required Inspections are not requested, Inspected and signed off ( axpproved) by the ins ector in the presrrIbed order , I understand that reInspectlon fees and an hourly investigation fee- pursuant to the 1994 I.IBC , Table 3A will be assessed I n addition to my original permit fees to resolve any questionable practicer; or problems that have been discovered . 1 further understand that this investigation will be scheduled as time: allows . tint i I resolution of any/all prob i rims no onoupancy f F' i na I Inspection ) wiiI be granted for the residence . OWNER/CONTRACTOR ( Indicate which ) fiIpreature 13 ) Al mobiIN/manufactured home landin s or decks must be freestanding ( self supporting ) . 'Then largest l and i ng or deck perm I t ed w i thout drawings or a bts i I d i ng permit is 120 sq f t or less AND MUST he under 30" In height from surrounding grade . NO second story decks , or docks above 30" can bey txu I I t. w i t hnut at permit .1 t Any i ttnc:t I ng or clerk that i s 30 or more In height from wa i k i nq surface* to finish grade requires a Permit . Any landing or der..k that ham} 4 or more° r i ser s requ I res a handy a I I . 14 ) CONSTRUCTION PROCESS TO BE FIELD C,ORRFCTE RUQ(J I RED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODF .x_ 15 ) Owner / buiI der, assumes a I I re ponsIb111ty If draa1nrIelrt earen I encumbered x Case No . : BLD99 -0080 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I i ' 1 Page No. 1 CASE HISTORY FORT CASE NO`.: BLD99-0080 STEVE ROCKE NE1131 OLD BELFAIR HWY BELFAIR 03/09/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- -----------`--------------------------- ---- --- -------- --- BLDA010 Application received 02/11/99 / / 02/11/99 DONE KW 02/11/99 KW BLDA200 (H) Hold / / 02/16/99 03/02/99 GET SIGNATURE ON PLOT PLAN AND WE NEED DONE TLG 03/02/99 KS THE PURCHASE PRICE OF THE UNIT BEFORE ISSUE. PRICE TO BE ENTERED INTO THE VALUATION AREA OF TIDEMARK FOR BETTY C. WE ALSO NEED CONTRACTOR REGISTRATION NUMBER SEMDING TO BELFAIR WITH THIS HOLD NOTED. BLDA500 (F) Issue building permit / / / / 03/02/99 DONE KS 03/02/99 KS BLDA920 Miscellaneous action / / / / 02/19/99 TRACY AT BUY RITE DROPPED OFF A CHECK IN DONE KW 02/19/99 KW BELFAIR FOR A FOUNDATION ONLY. WE ARE NOT DOING A FOUNDATION ONLY. THE 50.00 HAS BEEN APPLIED TO BALANCE DUE ON MH PERMIT. BLDB110 Building Plan Review 02/11/99 / / 02/16/99 DONE TLG 02/16/99 TLG BLDB130 Planning Review 02/18/99 / / 02/26/99 site visit made to verify setbacks and DONE AHB 02/26/99 AHB floodplain of Union River. AHB BLDB134 RLC Review / / / / 02/26/99 UNION RIVER FLOODPLAIN AND SETBACKS TO DONE AHB 02/26/99 AHB CONSIDER. AHB BLDB135 Addressing 02/11/99 / / 02/17/99 DONE GMM 02/17/99 GMM BLDB138 Planning Pre-Review 02/17/99 / / 02/18/99 DONE MMS 02/18/99 MMS BLDB200 Environmental Health Review 02/11/99 / / 02/17/99 Waiting for as built from Dick Sharer HOLD CEB 02/17/99 CEB BLDB200 Environmental Health Review 02/18/99 / / 02/19/99 Plot map and bedroom match. System is DONE CEB 02/19/99 CEB under three years old. BLDB210 Water Adequacy 02/17/99 / / 02/17/99 Need bacti test and well log. HOLD CEB 02/17/99 CEB BLDB210 Water Adequacy 02/19/ / / 02/19/99 tis i test and well log. DONE CEB 02/19/99 CEB Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRE TION NOTICE Job Location &CA 1131 C c /' Pt-p _ This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance f � - �f� /�C�. .%�7i�.,5 •�i�.=— -may '-/f.'/E'%t-' You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ,r ❑ This is not a complete inspection Department Date Inspector 7 eo moos NUT MosV T 1 T " ,� Building Permit # �'��'�'E�i MASON COUNTY BUILDING 111426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location ,��jocat6- This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance Z- CO) ers-r C> Cc�T y�7c_ ✓ i�-s.Q^'v -- You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection OK to 5Xj1?)- ❑ This is not a complete inspection Department Date ✓�� � Inspector ■ ioov NUT = Mo *V T Pak T " , Building Permit # — Cate MASON COUNTY BUILDING 11f 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location &3 /,re� '6& v This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below st be orrected to gain code compliance i�C''L� .� �✓ice ; oe �7 7 �rJf� " /z TY You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a omplete inspection Department } , Date Inspector ,C,� moos NOOT MOVV T 1 TA ,� � Building Permit # !L�—"90�0 MASON COUNTY ` BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location ZZ,306,0 6c% This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance /O rllvHL- You are here notified by that at the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection ��/�j��� Department � Date J + �� Inspector ■ �« NUT " vV T 1 , ,� JOE SHARON NEWBREY 206-275-7479 02-02-95 10:06 P.03 (I I A 09 IN I a � i ri eA# KG. ; � r fJ ill c�Q.N �'�p'd �C• ' i r �� f 2 Nma] Mea9rt o Structure e Top of ' C'--3 �13, max.-x Sly to a( Faorirq Face of f Tod of Nat toaed 40 Structure Slape �717' r= . TYPICAL STRUCTURAL SET9ACX -X BUILDING OFFICIAL MAY APPRoy ALTERNATE SE EACXS S CLEARA14C7_-S Sccte I" = 20' Sample Site Plan 24t' t 33' 14' 40 32• 20' 1 a PROPOSED n RESIDENCE L .au• nit, a EDGZ OF SANK S-eptic Tang m r J 24. � � d O M�ti s•s.tbaUt W.II tsn 121, . TYPICAL U--- SITE PLAN IN = 20' J. OOE 1406 Mason Lk. Or. N WINDSONG ` CAM -E-CaLl-7, MGaNIN3 ROOM � I` ' To N IT.INS Kli(;HEN � IC -q.. BEDROOM HALL BATH j E PS 0 " K_IN J — -- ° " ' CLOSET nl 'MASTER OPT. H DBL. kJ 5•-9• 7 DOORS MASTER BEDROOM LIVING ROOM BEOROOV! .? 1a•-2- 171-41, 101-91 OPT..G.STUB MUDEL D6U1 20�A S 8E0000"S. 2-8ATitS APPROX. 1311 SO. FT. I Redman Homes, It, I PERMIT NO.: BLD � 3' a _�9 MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR IN ORMATI N Owner `"y��. 1(' V eS.� t �� L Contractor Name nV ��X fit,. Mailing Adt�,\T ess ►JL 351 SC�'1f�onr-,r L- MailingAddress C XCityState )a Zip Code Y r State c�1Zip Code Phone o1"1�•y12.50ther Ph. o y,•AQ Ph.( )L V ther Ph.L___) Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Se tic Connect to Sewer System Name of Sewer System ell ✓ Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. �. 3,�© (, 13 / C> ;t C> Fire District Legal Description Site Address(Please include street name, street numb and city) ti'11 RX- Directions to site Will timber be cut and sold in parcel preparation? (Yes/; Is your propert 'thin 200' of tlxe'Nlowing: Body of Water (Name) Saltwater Lake iver reek Pond Wetland Bluf s Seasonal Runoff !Str9�m Slopes or f TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of BedroomsS3_'`No. Bathrooms_ SQUARE'FOOTAGE-1st Floor 2nd Floor 3rd Floor�Loft----.— oft • Basement Deck Other sq. ft. Garage A, ached-. _. etached Carport Attached Detached MOBILE HOME INFORMATION-Make Model DtFQ\ Model Year Length _Width Serial No. - No. of Bedrooms_-L3_No. of Bathrooms -2 Type of Heat -- ;;..ti. Purchase Price $_ rReplacement Unit ?(Yes/No) QL) Installer Name �� Certification No. g,,; r /V J NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. t (` r X Date X r l �,._\ `L Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. D�PARTMEI TAI» REVIEW AP vED DENIEb CONpIT10Ni CODS Building Department Occ Group Type Constr. ICI( ( d S6d Sa I? Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ Building Permit Fee Site Inspection Plan Review Fee — - -- UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Subm I ( ti-7Ci ) i::::i:}:}•i>i'isii;:iiiiii}:4iii}>i'rS:F:4:4:^i: :v:::i::vii?:v:i.i4:::vi:v::::••:• ' TOTA LF EES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name �O CK . PARCEL NUMBER 1 Z 3 24 136 7-4 30 Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System N. DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 • o' 2. O' 1 , E-adjacent property line �15' • �,/ f�L I I PR�Pa co I � y 1 06 � � I 1 C441 I I z I y _U I M � I ~3 LA- `"' I � I I I I I I I ,, I adjacentproperty_line--) t/8 10, I Fadjacent property line SAMPLE SITE PLAN aCdjRaEeEKt property line-� a 3zo' PE Fadjacent property line 30' rwxavn �I ✓A1_-5 -- 9 I c fi HOM b I I � G txaE�1 , F �• i Noc.a sG.. I > PrioPastD SO-Pt.Cc I 1 , I I VACA tuT I a,�R Aa6 I % o I 3 CM1oPosCD '/ �� � AaRstLLLr�n� 50 � I I 1 I I ioo' 80, I I L.0 e LL I I ] /00' --4 L--,e LL I adjacent property line-) ; c \; E-adjacent ro erty line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE di st.2..ca. to ruLtt�.YG diS't'3►nLL to Slop¢ �c¢ 1�l dit+an L r� . nature Date s REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCO1 BUYRIH*0840B 08/03/1999 EFFECTIVE DATE 09/02/1992 BUY RITE HOMES 3543 W STATE HWY 16 PORT ORCHARD WA 98367 �1 I